| NPI | 1598292799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 67313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036151131) |
| 207Q00000X Family Medicine (Licence: IL 0361117063) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-09-26 |