| NPI | 1376680728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO DR.0050905) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY TP595) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-089953) | |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: KY TP595) | |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: OH 35-089953) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-089953) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY TP595) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35-089953) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY TP595) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-05-21 |