| NPI | 1457516601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036113136) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 243976) |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2023-04-06 |