| NPI | 1518385335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036157614) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35.136283) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2022-03-01 |