| NPI | 1225060437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: OH 35-090844) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 41704) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-090844) | |
| 207VC0200X Obstetrics & Gynecology Critical Care Medicine (Licence: KY 41704) | |
| 207VC0200X Obstetrics & Gynecology Critical Care Medicine (Licence: OH 35-090844) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: OH 35090844) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: KY 41704) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-06-09 |