| NPI | 1538133434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.149433) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 36110575) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-10-11 |