| NPI | 1790870822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036098378) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01050797A) |
| 207P00000X Emergency Medicine (Licence: IL 036098378) | |
| 207Q00000X Family Medicine (Licence: IN 01050797A) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-08-03 |