| NPI | 1720023138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MT 12698) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-064890) |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: OH 35-064890) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-064890) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35-064890) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-02-20 |