| NPI | 1528319639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD469739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036136637) |
| 207Q00000X Family Medicine (Licence: GA 84562) | |
| 207P00000X Emergency Medicine (Licence: GA 84562) | |
| 207P00000X Emergency Medicine (Licence: PA MD469739) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036136637) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2024-05-30 |