| NPI | 1568753846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME168701) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 93074) |
| 208800000X Urology (Licence: IL 036145903) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2024-09-11 |