| NPI | 1437654548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036157056) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125072876) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-06-06 |