| NPI | 1841453446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 5028) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 58.002520) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2014-08-08 |