| NPI | 1457616351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01081820A) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01081820) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: OH 35.125936) | |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2022-10-12 |