| NPI | 1871085001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.155374) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006230A) |
| 207Q00000X Family Medicine (Licence: IN 02006230A) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-02-20 |