| NPI | 1992797260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036116757) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 37213) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2023-03-07 |