NPI | 1124130083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036108343) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036108343) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-05-10 |