| NPI | 1649708835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01083694A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01083694A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019310A) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-04-30 |