| NPI | 1952423881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036102227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096613) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-01-11 |