| NPI | 1013010297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036088326) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-088326) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-01-31 |