| NPI | 1891856886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01055937A) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036068129) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01055937A) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-07-13 |