| NPI | 1629040191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-090807) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036090807) |
| 208800000X Urology (Licence: IA 32089) | |
| 208800000X Urology (Licence: IA MD-32089) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-01-19 |