| 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 |