| NPI | 1588647655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 03614823) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 041458) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35121455) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-03-06 |