NPI | 1073711156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C54829) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.090050) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2018-02-27 |