| NPI | 1447249735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-04761) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.060262S) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2024-04-24 |