NPI | 1598154387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2020-00510) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 4352397) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2024-03-25 |