| NPI | 1982673190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-117561) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OS013149) |
| 207Q00000X Family Medicine (Licence: PA OS013149) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036117561) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-08-03 |