| NPI | 1124261748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036130792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036130792) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-08-04 |