| NPI | 1447614797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036156909) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2021009970) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-08-15 |