| NPI | 1386804144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D76272) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MD D76272) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101255009) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2014-05-21 |