| NPI | 1154388791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-077374) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036077374) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2022-08-30 |