| NPI | 1033377403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036132746) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2011-01423) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2013-08-12 |