| NPI | 1386141174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036176423) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 318971-01) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-09-18 |