| NPI | 1073809398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036152649) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01090228A) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2026-10-21 |