| NPI | 1275561193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036065038) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 78-321) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036065038) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-10-06 |