NPI | 1538185095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X (Licence: IL 036-097303) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036097303) |
2085R0001X (Licence: WI 5146-320) | |
2085R0001X (Licence: IL 036097303) | |
2085R0203X Radiology, Therapeutic Radiology (Licence: MI EMC0006393) | |
208D00000X General Practice (Licence: IL 036097303) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2025-04-07 |