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 |