| 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 |