| NPI | 1598950321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0075507) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 273489) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 273489) | |
| 207R00000X Internal Medicine (Licence: PA MD442389) | |
| 208M00000X Hospitalist (Licence: MD D0075507) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2019-10-01 |