| NPI | 1053653501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.139169) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125063816) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2021-09-15 |