| NPI | 1669405577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 9500394) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35-084222) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-084222) | |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: OH 35-084222) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 39750) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 39750) | |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: KY 39750) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-01-15 |