| NPI | 1457880718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-157747) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301112822) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-08-31 |