| NPI | 1649630211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101274595) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 00000000) |
| 208800000X Urology (Licence: IL 036155865) | |
| 208800000X Urology (Licence: IL 125068288) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2025-05-19 |