| NPI | 1437225729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036115026) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036-115026) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-04-26 |