| NPI | 1174527113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101251295) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036172624) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2025-02-04 |