| NPI | 1578671418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2004006659) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036155656) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-04-06 |