NPI | 1891781084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 1576) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.006103) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2013-06-17 |