| NPI | 1124075700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036056659) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036056659) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-09-10 |