| NPI | 1043290240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 1195) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34003973M) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2024-05-28 |