| NPI | 1255657011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-12073) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 126086813) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2022-08-25 |