| NPI | 1912974262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036092521) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036092521) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2025-05-09 |