| NPI | 1881854404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 003454) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 003454) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 003454) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-12-29 |