| NPI | 1275821563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01074698A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 110018015A) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2018-11-20 |