| NPI | 1013132281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.149430) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 50863-020) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 63209) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2024-02-09 |