| NPI | 1417201922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 283806) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD H95497) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MD H95497) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 283806) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 283806) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2022-12-28 |