| NPI | 1447457585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036.083315) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-083315) |
| 207Q00000X Family Medicine (Licence: IL 036083315) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-06-25 |