| NPI | 1780918185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q2356) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 27231) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2022-09-01 |