| NPI | 1700030251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 16675) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 03607223) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036072223) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AZ 16675) | |
| 208D00000X General Practice (Licence: IL 03607223) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2016-05-18 |