| NPI | 1437412582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2017014167) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036156280) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2026-06-30 |