| NPI | 1952692857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-01877) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2015-01877) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2016-04-12 |