| NPI | 1598997439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 20140007085) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 0365157442) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2021-12-01 |