| NPI | 1124063383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: AL 50324) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 50324) |
| 207V00000X Obstetrics & Gynecology (Licence: OH RO0869202) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH RO0869202) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2025-06-26 |