| NPI | 1811128861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.096747) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01099699A) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01099699A) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.096747) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2026-04-01 |