| NPI | 1124018528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: IL 036067499) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MI 4301104277) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2024-01-17 |