| NPI | 1679720361 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301106326) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125052788) |
| 208800000X Urology (Licence: TX BP10046215) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-03-05 |