NPI | 1184917833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 45549) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.015507) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2018-09-14 |