NPI | 1346200706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036082096) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35-024341) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2008-02-06 |