| NPI | 1982199634 |
|---|---|
| Other Name | CHAIM LEIB BETZALEL NISSEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS15435) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 4504) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-10-17 |