| NPI | 1407802465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.069037) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35069037) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-07-25 |