NPI | 1043213028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 27838) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35. 059153) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2015-07-29 |