| NPI | 1326087024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO MDR7047) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 336-068943) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-10-26 |