| NPI | 1700984408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036064560) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-11-01 |