| NPI | 1336130202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 23702) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-105613) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-01-06 |