| NPI | 1558710111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV DO2995) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.069827) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2023-10-05 |