| NPI | 1881656429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX K9748) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K9748) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-10-04 |