| NPI | 1215323019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: IL B650-6246-8210) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL B650-6246-8210) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |