| NPI | 1528020278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 78458) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 78458) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-01-10 |