| NPI | 1831107671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 33488021) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-075916) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-10-19 |