NPI | 1568874899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX T3378) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CO DR.0060729) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-21 |
Last Update Date | 2022-05-23 |