| NPI | 1316031396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-106479) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-106479) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-106479) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-03-19 |