| 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 |