| NPI | 1437125150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2006-01280) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-06-7454T) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-07-25 |