| NPI | 1427067990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036.088595) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036082189) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-12-28 |