| NPI | 1811089691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: IL 036152163) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: OH 35.090366) |
| 208800000X Urology (Licence: OH 35.090366) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-04-03 |