NPI | 1639225527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036128511) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036128511) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2013-04-17 |