NPI | 1881012946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY TP471) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA 141795) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2020-08-25 |