NPI | 1396859641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01059950A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036112371) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2018-10-17 |