| NPI | 1669422440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA MD.09521R) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX G7207) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MS 23382) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-04-27 |