| NPI | 1841810454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2025033249) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036176384) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-12-18 |