NPI | 1023544475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D91588) |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic 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 |