| NPI | 1770144404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A194999) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.074783) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-07-17 |