| NPI | 1124287651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 274981) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-133090) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2015-01-06 |