NPI | 1588284970 |
---|---|
Former Name | SHALOM BARISHANSKY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CT 78731) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-25 |
Last Update Date | 2024-07-17 |