| NPI | 1992704357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 28922) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 29190) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35-061570) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-04-27 |