| NPI | 1891883773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036057011) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036-057011) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-08-12 |