| NPI | 1073738324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: IL 36085845) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036085845) |
| 207Q00000X Family Medicine (Licence: IL 036085845) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-11-07 |