| NPI | 1376655266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34008903) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 05-28655) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KS 05-28655) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-05-29 |