| NPI | 1639170335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036067150) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036067150) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2021-12-30 |