| NPI | 1629076104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35-070734) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 25655) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35070734V) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35.070734) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2019-11-15 |