| 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 |