| NPI | 1750812608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A185710) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.071211) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-09-13 |