| NPI | 1255659587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-118894) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301092218) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2023-09-01 |