| NPI | 1285833707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 51194-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036116207) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2012-07-27 |