| NPI | 1942280797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036114471) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: MO 2005037958) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-02-18 |