| NPI | 1609070630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI MD-19168) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125-050681) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2021-05-26 |