| NPI | 1750814869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084090) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01084090A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01084090A) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2026-07-07 |