| NPI | 1245211143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VT 0420008331) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036133761) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2013-11-13 |