| NPI | 1629468244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: IL 036166186) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.069198) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-09-14 |