| NPI | 1568428605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036140919) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 48244) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-04-19 |