| NPI | 1346333689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-054760) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: IL 036-054760) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036-054760) | |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2013-12-31 |