| NPI | 1346458833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25ma08388300) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036.118551) |
| 208800000X Urology (Licence: MI 4301078062) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-03-04 |