| NPI | 1861810350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.147013) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2018022313) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-12-01 |