| NPI | 1609987890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036 078620) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036 078620) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 036078620) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036 078620) | |
| 209800000X Legal Medicine (Licence: IL 036 078620) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-10-22 |