| NPI | 1366405359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301074316) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-093259) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-03-05 |