| NPI | 1457327835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: NY 171543) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 171543) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 171543) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-11-20 |