NPI | 1154721025 |
---|---|
Other Name | FNU SURYA PRAKASH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35130379) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-08-28 |
Last Update Date | 2022-07-21 |