NPI | 1114934759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: IL 085001872) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001872) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2024-10-22 |