| NPI | 1568738854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: CT 75490) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0056199) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2023-07-20 |