| NPI | 1700881471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-085396) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO R7721) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2012-12-19 |