| NPI | 1326585217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036159184) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102205368) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2022-02-24 |