| NPI | 1013371046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.137267) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 150807) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-03-23 |