| NPI | 1629091251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-115425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-115425) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-04-16 |