| NPI | 1699960690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036-074096) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036074096) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-11-17 |