| NPI | 1982180568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01089687A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 309824) |
| 207R00000X Internal Medicine (Licence: IN 01089687A) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-08-24 |