| NPI | 1144216243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036055808) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 14258-320) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2025-11-07 |