| NPI | 1902265945 |
|---|---|
| Former Name | ALON BRACHYA JACOBS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 340368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340368) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2019-03-22 |