| NPI | 1518981232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A75800) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-116500) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-02-27 |