| NPI | 1093278285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 24847) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD19687) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2024-04-17 |