| NPI | 1467613448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NY 60 279469) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036.135698) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2015-06-05 |