| NPI | 1497133300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME158626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051297546) |
| 208600000X Surgery (Licence: IL 125071763) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-04-28 |