| NPI | 1568907632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036164469) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2025-12-16 |