| NPI | 1962588608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036048072) |
| Additional Taxonomies | 2088P0231X Urology Pediatric Urology (Licence: IL 036048072) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2017-12-15 |