| NPI | 1023090073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.142244) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.142244) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD185822) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 069079) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01081527A) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-02-01 |