| NPI | 1881957405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-144221) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 13124-320) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2025-05-06 |