| NPI | 1902899099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-076617) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH MD062974l/pa) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-10-14 |