NPI | 1508030958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: LA MD.205079) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.205079) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-04-16 |
Last Update Date | 2021-05-31 |