| NPI | 1669609566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01070260A) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: IN 01070260A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014845A) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-02-04 |