| NPI | 1396948659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036135328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 22901) |
| 207V00000X Obstetrics & Gynecology (Licence: WV 22901) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX U8219) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2011012787) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-06-13 |