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 |