| NPI | 1992995591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036136070) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60184340) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0092046) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-10-31 |