| NPI | 1376516211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35.083363) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.083363) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 250093) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 250093) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-12-07 |