| NPI | 1710203880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 1025380) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 1025380) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA 1025380) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2020-03-04 |