| NPI | 1659330199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX N4680) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 218183) |
| 207V00000X Obstetrics & Gynecology (Licence: TX N4680) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 218183) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX N4680) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-07-23 |