| NPI | 1285621516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IL 036129728) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036129728) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2016-10-12 |