| NPI | 1265871867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036.142279) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-07-21 |