| NPI | 1356697825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS018387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT-016023) |
| 207R00000X Internal Medicine (Licence: IN 99107509A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2022-11-29 |