| NPI | 1790087732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 17523) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 036136819) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2022-11-02 |