| NPI | 1073556205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-065207) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35065207) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-09-18 |