| NPI | 1891054094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA MD.206994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 1.055524) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MS 29153) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: LA MD.206994) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CT 1.055524) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2023-02-20 |