| NPI | 1992734297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036073282) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036073282) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036073282) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036073282) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2021-12-17 |