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 |