| NPI | 1730576166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 53545) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.136582) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-09-21 |