| NPI | 1457357642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5315029112) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036081158) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2008-05-20 |