| NPI | 1487151205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036.173851) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351028121) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX U1488) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-07-10 |