| NPI | 1194787622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ ME150697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH OH35068255E) |
| 207V00000X Obstetrics & Gynecology (Licence: OH OH35068255E) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH OH35068255E) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-06-22 |