| NPI | 1750527156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N7392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7392) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A121528) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2017-04-03 |