| NPI | 1336235050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2002030221) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2002030221) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2002030221) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2026-07-08 |