| NPI | 1598150393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021016699) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A135348) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036.143820) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-07-13 |