| NPI | 1396942264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01066091A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066091A) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-03-01 |