| NPI | 1447255872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-040477) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35040477) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2012-02-17 |