| NPI | 1114597846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: IL 125077267) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |