NPI | 1124401823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: IL 125.072347) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD61618841) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2024-12-16 |