| NPI | 1720138829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX P2820) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P2820) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 052873) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A86507) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 36618) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-01-04 |