| NPI | 1457537011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036134050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017552) |
| 207R00000X Internal Medicine (Licence: MI 5101017552) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2022-02-01 |