| NPI | 1336210624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036109353) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2018031624) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2022-07-29 |