| NPI | 1346281375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 047899) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35087283) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35087283) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35087283) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-10-28 |