| NPI | 1891100889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036149156) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101021252) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2022-07-12 |