| NPI | 1891082731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CO DR.0057460) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.058837) |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: IL 036-058837) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2021-06-14 |