| NPI | 1942381926 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX 44528)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-078618)  | 
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: OH 35-078618)  | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35-078618)  | |
| Enumeration Date | 2006-10-18 | 
| Last Update Date | 2024-01-18 |