NPI | 1700030418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A135887) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P1995) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-11-07 |
Last Update Date | 2015-07-28 |