| NPI | 1922681790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO DR.0077371) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0077371) | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2026-06-09 |