| NPI | 1346735685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 66301) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 66301) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-09-08 |