| NPI | 1699214213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.015229) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 58.008342) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2022-10-24 |