| NPI | 1972502755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 15799) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35049937) |
| 207V00000X Obstetrics & Gynecology (Licence: TX N3644) | |
| 208M00000X Hospitalist (Licence: NV 15799) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2017-01-31 |