| NPI | 1336752799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036154910) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01084087A) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-06-23 |