| NPI | 1073656617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MN 62148) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 36117995) |
| 208800000X Urology (Licence: MN 16380) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-07-21 |