| NPI | 1952585036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036078254) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IL 036078254) |
| 207P00000X Emergency Medicine (Licence: IL 036078254) | |
| Enumeration Date | 2007-12-25 |
| Last Update Date | 2011-02-02 |