| NPI | 1760477376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036073486) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01093287A) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-04-15 |