| NPI | 1417362138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD471267) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 294448) |
| 207L00000X Anesthesiology (Licence: MA 260387) | |
| 207R00000X Internal Medicine (Licence: MA 260387) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 294448) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-10-03 |