| NPI | 1386801751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-132214) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.052467) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-11-22 |