| NPI | 1700296621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 36150011) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2019017136) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2021-12-01 |