| NPI | 1750479648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036099357) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-099357) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-08-09 |