| NPI | 1598762577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036100494) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 19686) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 063457) | |
| 207V00000X Obstetrics & Gynecology (Licence: IA MD-48514) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MN 53651) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2025-09-05 |