NPI | 1174977524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101027078) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.014383) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2022-12-01 |