| NPI | 1821284803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036140984) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 271670) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2016-07-15 |