| NPI | 1427687789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 000031804977) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01094923A) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-09-30 |