| NPI | 1386084259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141869) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101020749) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-03-12 |