| NPI | 1265672406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35.131463) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.131463) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R9260) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.131463) | |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2024-05-21 |