| NPI | 1669761664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A 112120) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.124677) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2016-04-14 |