| NPI | 1104936392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-039467) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036039467) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-12-05 |