| NPI | 1316168990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101241847) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125-043865) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-06-17 |