| NPI | 1508952573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 241874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 241874) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 241874) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-09-21 |