| NPI | 1134263338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 122570) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01060945A) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2016-02-08 |