| NPI | 1366777856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2022018609) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036139275) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2024-01-03 |