| NPI | 1215494927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 1017523) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036158482) |
| 208800000X Urology (Licence: IL 125073537) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-02-16 |