| NPI | 1043287980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-178348) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD00026526) |
| 208800000X Urology (Licence: WI 83995) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2026-01-22 |