NPI | 1174733521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036041159) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 258002) |
207Q00000X Family Medicine (Licence: IL 036-041159) | |
207R00000X Internal Medicine (Licence: IL 036041159) | |
208600000X Surgery (Licence: NY 258002) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-06-24 |