| NPI | 1083496525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 125083060) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 125083060) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-01-13 |