| NPI | 1063648632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.143320) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD449108) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 274112) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2022-07-21 |