| NPI | 1891831566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036134602) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MO 2008012487) |
| 207Q00000X Family Medicine (Licence: MO 2008012487) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2008012487) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-04-22 |