NPI | 1316063399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-058768) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036-058768) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036058768) | |
208D00000X General Practice (Licence: IL 036058768) | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036058768) | |
207Q00000X Family Medicine (Licence: IL 036058768) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2023-03-07 |