| NPI | 1245556224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-137110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036137110) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2021-03-20 |