| NPI | 1063564458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0070960) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036109654) |
| 208D00000X General Practice (Licence: IL 036109654) | |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD0349049) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301120119) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-01-18 |