NPI | 1114268513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX U9952) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 30086) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-09 |
Last Update Date | 2024-09-02 |