| NPI | 1285818591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01068978A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125052995) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2023-05-16 |