| NPI | 1881704492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036102311) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME128995) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-08-10 |