| NPI | 1003883844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.088428) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA BM7549643) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD417193) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-07-10 |