| NPI | 1518259282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301098128) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301098128) |
| 208M00000X Hospitalist (Licence: MI 4301098128) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2022-09-12 |