| NPI | 1427173145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS17547) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34-009012) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-10-17 |