| NPI | 1497746903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.111520) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01095436A) |
| 207V00000X Obstetrics & Gynecology (Licence: OK 24674) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2025-05-14 |