| NPI | 1831458553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A148490) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301100357) |
| 208M00000X Hospitalist (Licence: MI 4301100357) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-03-18 |