| NPI | 1891474946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.177554) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10082237) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2026-03-10 |