| NPI | 1679736953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA11111600) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 249407) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2024-05-02 |