| NPI | 1497240428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01085563A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11020195A) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-08-04 |