| NPI | 1659393601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036114602) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2004001657) |
| 207P00000X Emergency Medicine (Licence: IL 036114602) | |
| 207R00000X Internal Medicine (Licence: IL 036-114602) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-10-21 |