| NPI | 1861786261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036140579) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: AZ 46166) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2017-03-14 |