| NPI | 1922274620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036131931) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 57.013244) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2022-07-29 |