| NPI | 1952333098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX N4204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-081113) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35-081113) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-081113) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35-081113) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-11-05 |