| NPI | 1447545686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 11016240A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036131920) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2013-03-22 |