NPI | 1760449938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036084729) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036084729) |
207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036084729) | |
Enumeration Date | 2006-04-28 |
Last Update Date | 2019-12-19 |