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 |