| NPI | 1639568447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036165596) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125069916) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2023-12-15 |