| NPI | 1902031537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 291690) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-056156) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2018-04-05 |