| NPI | 1467593533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 56834) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60407479) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.040836) | |
| 207V00000X Obstetrics & Gynecology (Licence: KS 04-44192) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 30540836E) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-07-29 |