| NPI | 1124468129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036142613) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM R-34-2015) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 125.063154) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2024-09-06 |