| NPI | 1831189448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036148112) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME57194) |
| 208800000X Urology (Licence: GA 98491) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2024-05-17 |