| NPI | 1033353792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004055A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036129835) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: IN 02004055B) | |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2024-12-16 |