| NPI | 1235839960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11024368A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125084614) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2025-06-24 |