| NPI | 1457519225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036-074408) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-074408) |
| 207R00000X Internal Medicine (Licence: IL 036-074408) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: IL 036-074408) | |
| 2083T0002X Preventive Medicine Medical Toxicology (Licence: IL 036-074408) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: IL 036-074408) | |
| 208D00000X General Practice (Licence: IL 036-074408) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2009-10-14 |