| NPI | 1780917989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.145678) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C156019) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2024-02-04 |