NPI | 1710127576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036129917) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036129917) |
Enumeration Date | 2009-03-05 |
Last Update Date | 2022-02-15 |