| NPI | 1114909942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036107310) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD427894) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01053511A) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2022-12-22 |