| NPI | 1356419378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 56720) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 0369092176) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-02-06 |