| NPI | 1053760132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036153135) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125069226) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-09-01 |