| NPI | 1023123031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 22790) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 36055506) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-02-15 |