| NPI | 1962609768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036151942) |
| Additional Taxonomies | 208800000X Urology (Licence: IA R8080) |
| 208800000X Urology (Licence: MO 2020015497) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2024-09-16 |