| NPI | 1386212280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME173229) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.078189) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-06-06 |