| NPI | 1871596171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.060542) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35060542F) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2025-03-06 |