| NPI | 1386727584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036120076) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 17048) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-01-28 |