| NPI | 1992711030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301081273) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036111816) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-10-03 |