| NPI | 1972863124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 125071418) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 11016500A) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2018-08-07 |