| NPI | 1700987153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME136154) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036119176) |
| 208800000X Urology (Licence: CA A92635) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-06-04 |