| NPI | 1801839808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 30958) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036108680) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-11-03 |