| NPI | 1023045184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 38329) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 038329) |
| 207L00000X Anesthesiology (Licence: NY 246473-1) | |
| 174400000X Specialist (Licence: MI 4301079793) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 38329) | |
| 207R00000X Internal Medicine (Licence: CT 038329) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-08-28 |