| NPI | 1245222165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036089089) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036089089) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2021-12-21 |