| NPI | 1285606111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-081676) |
| Additional Taxonomies | 208800000X Urology (Licence: IA 29128) |
| 208800000X Urology (Licence: IA MD-29128) | |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2016-01-19 |