| NPI | 1255479069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036050326) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036050326) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036050326) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |