| NPI | 1013154327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.053851) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036126420) |
| 207Q00000X Family Medicine (Licence: IL 036126420) | |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2016-12-16 |