| NPI | 1538384201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036-070535) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-070535) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036-070535) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-04-28 |