| NPI | 1043751480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 125.070079) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 1043751480) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2025-01-30 |