NPI | 1699937581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K4079) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036085186) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2016-12-30 |