| NPI | 1467667758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X (Licence: IL 036074804) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036074804) |
| 207R00000X Internal Medicine (Licence: IL 036074804) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-05-15 |