| NPI | 1730382201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 113000068) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2007-00873) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-11-14 |