| NPI | 1588630529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.073964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-073964) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-06-06 |