| NPI | 1922070382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036061393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036061393) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-11-06 |