| NPI | 1710482971 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 125.072073) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 69461) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-05-22 |