| NPI | 1326987314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN45509) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN45509) |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-06-01 |