| NPI | 1558717603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01081967A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036157145) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-10-06 |