NPI | 1972551638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 32782) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35052398F) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2021-03-15 |