| NPI | 1861789737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036133572) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 125060466) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2014-09-26 |