| NPI | 1699295808 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208800000X Urology (Licence: IL 036165436) | 
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-071360) | 
| 208800000X Urology (Licence: FL OS18708) | |
| 208800000X Urology (Licence: IL 125-071360) | |
| Enumeration Date | 2017-06-20 | 
| Last Update Date | 2025-08-19 |