| NPI | 1982085247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-148417) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI EMC0006076) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101021965) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2025-01-08 |