| NPI | 1942703749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S6934) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX S6934) |
| 207R00000X Internal Medicine (Licence: IN 01099254A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01099254A) | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2026-05-13 |