| NPI | 1063450757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036103944) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IL 036-103944) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-05-06 |