NPI | 1487800637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101250340) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 62644) |
Enumeration Date | 2008-08-07 |
Last Update Date | 2024-07-23 |