| NPI | 1598879777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 61352) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036088552) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-10-15 |