| NPI | 1184353278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 5151015550) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 02009141A) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2026-08-04 |