| NPI | 1609068402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-069-383) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IL 036-069-383) |
| 207P00000X Emergency Medicine (Licence: IL 036-069-383) | |
| 208M00000X Hospitalist (Licence: IL 036-069-383) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036069383) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: IL 036069383) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2011-08-19 |