| NPI | 1477733095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 07013087) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 070013087) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2008-03-17 |