| NPI | 1962660019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX Q0138) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: IL 036129839) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-02-24 |