| NPI | 1548581341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A170258) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-141266) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2025-07-29 |