| NPI | 1851501845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 50541) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q5899) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-04-23 |