| NPI | 1346432465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036126548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036126548) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2015-12-03 |