| NPI | 1497758056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0061528) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0061528) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.130147) | |
| 207Q00000X Family Medicine (Licence: IL 036.130147) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2014-07-31 |