| NPI | 1831622547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036171586) |
| Additional Taxonomies | 208800000X Urology (Licence: ID 1161679) |
| 208800000X Urology (Licence: AL MD.37912) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2026-03-13 |