| NPI | 1194981126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q8285) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IA 39508) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.013545) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2022-06-17 |