| NPI | 1083682660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IL 036.12058) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OK 18538) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KS 04-34519) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2012029926) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-01-10 |