| NPI | 1023472834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-157480) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ R75450) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-04-20 |