NPI | 1750384871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.068719) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35068719A) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2020-12-21 |