| NPI | 1497911762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME114234) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125050781) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-04-17 |