| NPI | 1366478455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-148679) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301117114) |
| 208800000X Urology (Licence: IA MD-46076) | |
| 208800000X Urology (Licence: IN 01091812B) | |
| 208800000X Urology (Licence: OH 35086609) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-11-03 |