NPI | 1447234729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IL 36108412) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036108412) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2022-07-21 |