| NPI | 1215477732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036160104) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125070720) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2023-07-26 |