| NPI | 1245296409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35-073345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35073345) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-10-23 |