| NPI | 1760465165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 03689542) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036089542) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2015-06-23 |