| NPI | 1033499116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.162365) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101263173) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2023-02-20 |