| NPI | 1891113775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 336.107615) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125064529) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2021-04-01 |