| NPI | 1497977334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NV 13116) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125-050007) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-11-25 |