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 |