| NPI | 1982792669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.134632) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.134632) |
| 208800000X Urology (Licence: IL 036-131414) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-06-21 |