| NPI | 1679530240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME58548) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036086339) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-01-22 |