| NPI | 1326489063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35.131163) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.131163) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2020-11-11 |