| NPI | 1124271978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.096199) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-136355) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01074346B) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 53177) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2021-11-19 |