| NPI | 1578559811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-055457-F) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35055457F) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01032783A) | |
| 207V00000X Obstetrics & Gynecology (Licence: VT 0420008213) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-01-04 |