| NPI | 1982968756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036143964) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125061943) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-04-20 |