| NPI | 1346357076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01066470A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-101658) |
| 207Q00000X Family Medicine (Licence: IL 036101658) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-03-13 |