| NPI | 1447377270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036048283) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036048283) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036048283) | |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2007-07-09 |