| NPI | 1558351312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: IL 036-083401) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: IL 036083401) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-08-08 |