| NPI | 1154315158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 42334-20) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 42334) |
| 208M00000X Hospitalist (Licence: WI 42334) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2021-01-21 |