| NPI | 1700863057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036034850) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036034850) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-10-07 |