| NPI | 1215088018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-037358) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01055214A) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |