| NPI | 1396977328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2021039448) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036132771) |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2023-09-12 |