| NPI | 1295264307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: ME MD28197) |
| Additional Taxonomies | 208800000X Urology (Licence: CT 74011) |
| 208800000X Urology (Licence: IL 125.070949) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-08-13 |