| NPI | 1093936387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 057912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 057912) |
| 208M00000X Hospitalist (Licence: GA 057912) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-05-08 |