| NPI | 1780695023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: IL 036054308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036054308) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-08-24 |