| NPI | 1437686516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-52582) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-44451) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-03-28 |