| NPI | 1942611694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036-153180) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 70572) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2023-01-15 |