| NPI | 1245480169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.127560) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036135672) |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2019-03-25 |