| NPI | 1154346146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35-056711) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-056711) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-056711) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35-056711) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KY 33328) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 33328) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 33328) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 33328) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-12-17 |