| NPI | 1407418213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11020775A) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 111145) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-03-24 |