| NPI | 1487664769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301512959) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036096056) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-01-24 |