NPI | 1972898625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0079635) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD043099) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT 199329) | |
Enumeration Date | 2011-06-10 |
Last Update Date | 2022-02-04 |