| NPI | 1326585217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS21537) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0102205368) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036159184) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2025-01-28 |