| NPI | 1184608143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 100522) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-104975) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2022-05-18 |