| NPI | 1285096701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01082745A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036149336) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-08-21 |