| 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 |