| NPI | 1073596706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036047780) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01026618A) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2018-03-17 |