| NPI | 1811265358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.047737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 36199) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME88568) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2004006673) | |
| 207V00000X Obstetrics & Gynecology (Licence: KS 04-30623) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01053846A) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2022-12-06 |