NPI | 1508162207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 68555) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01594) |
208M00000X Hospitalist (Licence: NC 2014-01594) | |
Enumeration Date | 2011-01-28 |
Last Update Date | 2021-06-28 |