| NPI | 1285628305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036061244) |
| Additional Taxonomies | 208800000X Urology (Licence: IA MD-46061) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2019-03-18 |