| NPI | 1811976988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 36100535) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 036100535) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2025-12-09 |