| NPI | 1609294305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036147483) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.065964) |
| 208800000X Urology (Licence: IL 125.065964) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-07-30 |