| NPI | 1477947844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.150665) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 52059) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 036150665) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2024-11-06 |