| NPI | 1629632906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A208978) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX U5813) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2026-07-31 |