| NPI | 1336646751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A22196) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036160174) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2023-11-15 |