| NPI | 1821248014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 36122246) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125049019) |
| 208800000X Urology (Licence: NY 2608171) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2013-01-01 |