NPI | 1912299058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301119123) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011014912) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-09 |
Last Update Date | 2019-07-09 |