| NPI | 1750353926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX D9392) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX D9392) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX D9392) | |
| 207VH0002X Obstetrics & Gynecology Hospice and Palliative Medicine (Licence: TX D9392) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-09-02 |