| NPI | 1861759805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0069192) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036157399) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2022-07-25 |