| NPI | 1568653608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-123903) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 045457) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-12-12 |