| NPI | 1679987549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301114188) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036142240) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-05-14 |