NPI | 1013915248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036080930) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036080930) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2018-10-19 |