| NPI | 1952940488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 297011174) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IL 297011174) |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2026-08-08 |