NPI | 1144280520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 156471) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 156471) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 156471) | |
Enumeration Date | 2006-03-28 |
Last Update Date | 2008-04-10 |