| NPI | 1487726444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M2929) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX M2929) |
| 207R00000X Internal Medicine (Licence: TX m2929) | |
| 208M00000X Hospitalist (Licence: TX M2929) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-04-15 |