| NPI | 1508152034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35.134021) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125059433) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036135366) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35134021) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2018-06-28 |