| NPI | 1528027232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 10030) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34-008379) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-10-27 |