| NPI | 1154326437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 36950) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036098987) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2018-10-25 |