| NPI | 1932175858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.146500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 19394) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-07-09 |