| NPI | 1861595647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036084767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 105451) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-11-01 |