| NPI | 1174083414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MA 1015458) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125074871) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-06-15 |