| NPI | 1629177753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A17697) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036106905) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 249719) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-03-08 |