| NPI | 1316233141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 313891) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125059859) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-01-20 |