| NPI | 1679699086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME169373) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301079510) |
| 208800000X Urology (Licence: IL 036161548) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-08-27 |