| NPI | 1437504768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036166716) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 02006403A) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2023-12-12 |