| NPI | 1053394155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: IL 036108168) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 52426) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-12-21 |