| NPI | 1639523665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A151081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151081) |
| 208M00000X Hospitalist (Licence: CA A151081) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A151081) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-12-27 |