| NPI | 1932157153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME110328) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036106689) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-06-17 |