| NPI | 1871571984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR MD219272) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K3600) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2024-10-09 |