| NPI | 1316387996 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01082158A)  | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01082158A)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-27 | 
| Last Update Date | 2025-03-06 |