| NPI | 1629130950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-01105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J1351) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX J1351) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-02-28 |