| NPI | 1801042700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036133493) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2015036246) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MO 2015036246) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2021-12-01 |