| NPI | 1578622809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-076140) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-076140) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 336-039433) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-04-10 |