NPI | 1497733091 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS18314) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036122796) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2024-06-18 |