| NPI | 1871591115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036084462) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0067812) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2022-06-09 |