NPI | 1235190786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MN 39449) |
Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: IL 036152612) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2025-04-07 |