| NPI | 1003049818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD163365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036131027) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD163365) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2024-07-22 |