| NPI | 1992933550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 52070) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125056620) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2016-08-19 |