NPI | 1497375646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 97079) |
Enumeration Date | 2020-04-17 |
Last Update Date | 2023-09-08 |