| NPI | 1932603222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 125073238) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125073238) |
| 208800000X Urology (Licence: IL 125.073238) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-04-23 |