NPI | 1831292069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036084977) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036084977) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2010-08-02 |