| NPI | 1407026479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: RI MD17170) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036.127589) |
| 208800000X Urology (Licence: NC 2013-01407) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2020-08-04 |