| NPI | 1376623785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.136931) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35.136931) |
| 208600000X Surgery (Licence: OH 35.136931) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-05-21 |