| NPI | 1992090013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD475457) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-4092) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0053382) | |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 50623) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 50623) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-03-23 |