| NPI | 1467455881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.050312) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 0103309A) |
| 207V00000X Obstetrics & Gynecology (Licence: KY 21418) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.050312) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2024-01-25 |