| NPI | 1568788198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036131806) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD472014) |
| 207V00000X Obstetrics & Gynecology (Licence: WV 33125) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME143505) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 306838) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10960000) | |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101255704) | |
| 207V00000X Obstetrics & Gynecology (Licence: MD D77555) | |
| 207V00000X Obstetrics & Gynecology (Licence: DE C1-0024011) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-03-17 |