| NPI | 1962443739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-069938) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036-069938) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01048271A) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-05-08 |