| NPI | 1992119168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A153133) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.142094) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-04-12 |