| NPI | 1861576043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 139329) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-108831) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036-108831) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-01-26 |