NPI | 1235214982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IL 036139777) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA07442500) |
207V00000X Obstetrics & Gynecology (Licence: IL 036-139777) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2021-04-28 |