| NPI | 1891872685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VT 042-0013249) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036082481) |
| 208800000X Urology (Licence: MO 2007015076) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-11-23 |