| NPI | 1871086264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 125.071692) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01093868A) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2025-01-06 |