| NPI | 1659486413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-091462) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 34656) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-05-17 |