| NPI | 1023544475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D91588) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: IN 01093233A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 226752) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-06-11 |