| NPI | 1659351229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.069702) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01079320A) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301067013) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-06-24 |