| NPI | 1053387431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD182488) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036088889) |
| 174400000X Specialist (Licence: CA G87495) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-07-08 |