| NPI | 1912959305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036083862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036083862) |
| 207R00000X Internal Medicine (Licence: IL 036083862) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-07 |