| NPI | 1730331224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.133674) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01069049A) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2026-01-15 |