| NPI | 1548286768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2004000458) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036154468) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-07-12 |