| NPI | 1336209527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076051A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-114411) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-12-23 |