| NPI | 1437379021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO1433) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036117984) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-02-09 |