| NPI | 1942731542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-19586) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX T0630) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-07-17 |