| NPI | 1235488719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX S2382) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61465946) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT202470) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD61465946) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202470) | |
| 207V00000X Obstetrics & Gynecology (Licence: AL 4940) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2025-01-22 |