| NPI | 1386938157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.148484) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD453305) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-08-09 |