| NPI | 1659735827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 36299) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX BP10055824) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-06-05 |