| NPI | 1447451570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: ID 8061375) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036166255) |
| 208800000X Urology (Licence: CO 45925) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-10-22 |