| NPI | 1669028924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208800000X Urology (Licence: IL 1669028924) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2024-03-26 |