| NPI | 1467473231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036055437) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036055437) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-07-07 |