| NPI | 1548249097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036136882) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 20869) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2007-0689) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2015-04-21 |