| NPI | 1013929140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34010287) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 02003079) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-12-15 |