| NPI | 1265669683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 51217) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D74312) |
| 208800000X Urology (Licence: IL 125-051491) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2019-08-07 |