| NPI | 1619941523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IL 36065084) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036065084) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-11-11 |