| NPI | 1992770101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 37848) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-122458) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036-122458) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2026-03-03 |