NPI | 1588076624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: IL 036157989) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD61027276) |
208800000X Urology (Licence: PA MD460313) | |
Enumeration Date | 2014-05-23 |
Last Update Date | 2021-09-27 |