| NPI | 1346386984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-070129) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 68388) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-03-07 |