| NPI | 1780934760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 77984) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125060900) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2019-09-26 |