| NPI | 1629001599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX H0372) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H0372) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NV 17735) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-04-18 |