| NPI | 1669040713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10074416) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-05-13 |