| NPI | 1518253988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A150231) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.059496) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-11-27 |