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 |