| NPI | 1528622123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036165661) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 14225703-1205) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2025-08-18 |