| NPI | 1790760544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036130109) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 16383) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-04-17 |