| NPI | 1790787521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 36079283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0449143) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101273504) | |
| 207V00000X Obstetrics & Gynecology (Licence: UT 13111717-1205) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY C1158) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-11-07 |