NPI | 1790798593 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID MC-2626) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036091551) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2024-03-12 |