| NPI | 1710156377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 82799-20) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35090824) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35090824) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2023-09-29 |