| NPI | 1841251378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036115105) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036115105) |
| 208D00000X General Practice (Licence: IL 036115105) | |
| 207T00000X Neurological Surgery (Licence: IL 036115105) | |
| Enumeration Date | 2006-04-02 |
| Last Update Date | 2017-05-07 |