| NPI | 1073760773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 45425) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 45425) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-12-17 |