| NPI | 1740816784 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11021229A)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02008405A)  | 
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 02008405A)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-22 | 
| Last Update Date | 2025-06-24 |