| NPI | 1952504284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX M5676) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX M5676) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2009-00417) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-04-12 |