| NPI | 1942303417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NM 95-247) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K4069) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX K4069) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-11-20 |