| NPI | 1316069321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-062764) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036-062764) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036-062764) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-11-02 |