| NPI | 1093822595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036065767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36065767) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-02-20 |