| NPI | 1821782244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11023846A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10085267) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-06-24 |