| NPI | 1912926395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-03307) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35 079833) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.079833) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-03-12 |