| NPI | 1326007774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.0138679) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 43490) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01070038A) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-12-23 |