| NPI | 1629392352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301101038) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036128545) |
| 208800000X Urology (Licence: NM MD2011-0421) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2026-06-26 |