NPI | 1477947844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 036150665) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.150665) |
207Q00000X Family Medicine (Licence: SC 52059) | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2020-10-09 |