| NPI | 1639140031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME118388) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036060402) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2017-09-25 |