| NPI | 1346294469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036110141) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: IL 036110141) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036110141) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-02-24 |