| NPI | 1952397051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: IL 036103859) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036103859) |
| 2088P0231X Urology, Pediatric Urology (Licence: WI 57335) | |
| 208800000X Urology (Licence: WI 57335) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-09-25 |