| NPI | 1275574527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036116096) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C54664) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-11-07 |