| NPI | 1629090089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: IL 036-058821) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036-058821) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: IL 036-058821) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-05 |