| NPI | 1629225974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036063518) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036-063518) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-09-15 |