NPI | 1780902809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0067683) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX Q1004) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-05-13 |
Last Update Date | 2023-03-13 |