| 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 | 2022-11-11 |