| NPI | 1982043097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.140707) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125062720) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2019-07-15 |