| NPI | 1962848507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01078693A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017065A) |
| 207R00000X Internal Medicine (Licence: IN 01078693A) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2021-01-06 |