| NPI | 1538591268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.146494) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT205283) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2023-11-29 |