| NPI | 1528258571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-118952) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036.118952) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-12-29 |