| NPI | 1831398668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036135534) |
| Additional Taxonomies | 208800000X Urology (Licence: TN MD48389) |
| 208800000X Urology (Licence: OK 35762) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-06-17 |