| NPI | 1093709438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036093184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 36093184) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-05-16 |