| NPI | 1013114453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036148618) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2007019019) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-11-27 |