| NPI | 1588656631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G88554) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036092161) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-07-16 |