| NPI | 1669438271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.118578) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 47349) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2021-12-26 |