| NPI | 1528052370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 31310) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036103038) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2022-07-07 |