| NPI | 1962430272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036106149) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 036106149) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2025-02-07 |