| NPI | 1558352609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-083284) |
| Additional Taxonomies | 208800000X Urology (Licence: NM MD2012-0231) |
| 208800000X Urology (Licence: IN 01060971A) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2022-12-15 |