| NPI | 1891893525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-116977) |
| Additional Taxonomies | 208800000X Urology (Licence: FL me82330) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-01-12 |