| NPI | 1114185394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.128008) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-144237) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2024-07-19 |