| NPI | 1841610961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 89751) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.146733) |
| 207V00000X Obstetrics & Gynecology (Licence: WA OP61416149) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX T3632) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-10-24 |