| NPI | 1447873864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-17984) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL84490) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-07-25 |