| NPI | 1255625091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME113663) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036131498) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 065908) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-06-22 |