| NPI | 1043507866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036140866) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.059642) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2016-06-21 |