NPI | 1548721616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.151147) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.249175) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2024-07-24 |