| NPI | 1629176789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-148723) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 554958020) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-02-11 |