| NPI | 1215165584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 50775) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125-056789) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-01-18 |