| NPI | 1962408161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35065228) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MI FN059015) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: OH 35.065228) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2022-03-25 |