| NPI | 1770670945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 273139) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K7471) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-10-17 |