NPI | 1457739229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036147250) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A169436) |
207Q00000X Family Medicine (Licence: IL 336108258) | |
207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036147250) | |
Enumeration Date | 2015-05-13 |
Last Update Date | 2025-07-11 |