| NPI | 1306049192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 075221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 261642) |
| 208M00000X Hospitalist (Licence: MO 2007019093) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2016-11-04 |