| NPI | 1497729651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36048407) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36048407) |
| 207ZH0000X Pathology, Hematology (Licence: IL 36048407) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 36048407) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36048407) | |
| 208600000X Surgery (Licence: IL 36048407) | |
| 208D00000X General Practice (Licence: IL 36048407) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |