| NPI | 1871752394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.131950) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A131747) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-05-07 |