| NPI | 1568740033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036137608) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036137608) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301099622) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2017-02-15 |