NPI | 1205052057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 44184) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-116804) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2025-01-10 |