| NPI | 1053626705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036144737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 58.003593) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 006762) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2021-04-12 |