| NPI | 1245918390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.152774) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.082052) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-03-26 |