| NPI | 1487642492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.144605) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A79203) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2018-03-17 |