| NPI | 1447545447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.146364) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-146364) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2022-11-30 |