| NPI | 1457460529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NV 14613) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036046409) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-06-08 |