| NPI | 1942390430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H4441) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-4925) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-11-25 |