NPI | 1528406881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A148739) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT204983) |
207V00000X Obstetrics & Gynecology (Licence: PA MT204983) | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2020-07-13 |