| NPI | 1891951802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: VA 0101256468) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.127630) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101256468) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-08-03 |