| NPI | 1558552174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D78115) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036126558) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2015-11-06 |