| NPI | 1710513221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036151767) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01090750A) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2025-06-05 |