| NPI | 1013323666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 284091) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 41624) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-10-13 |