| NPI | 1629213210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-135867) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A106181) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2017-03-15 |