| NPI | 1457768038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 036175524) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MAO9685900) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2025-08-21 |