| NPI | 1053979237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 125075164) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125075164) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-08-06 |