NPI | 1578099941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD203797) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD203797) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD61275846) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-04 |
Last Update Date | 2024-08-22 |