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 |