| NPI | 1831693779 |
|---|---|
| Former Name | BRETT AARON CLARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A166780) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: CA A166780) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2022-08-05 |