| NPI | 1538480017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036133064) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01094341A) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-09-18 |