| NPI | 1720060536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2012032356) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 36114544) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2022-12-08 |