| NPI | 1093705501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036104897) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: LA 200543) |
| 208800000X Urology (Licence: LA 200543) | |
| 208600000X Surgery (Licence: LA 200543) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2025-07-31 |