| NPI | 1043729759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 125080937) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 1026964) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2026-05-20 |