| NPI | 1710305123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036148982) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 64600-20) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-09-26 |