| 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 |