| NPI | 1619160553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.092751) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01077490A) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-10-10 |