| NPI | 1477504488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-100726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-100726) |
| 208D00000X General Practice (Licence: IL 036-100726) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2016-11-08 |