| NPI | 1386602100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01035397A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-081831) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-01-08 |