NPI | 1326200957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0054177) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003828A) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014445A) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2020-04-06 |