is a Critical Care Medicine in , . practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for is 1801005020. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1801005020 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
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| Taxonomy | 207Lc0200X |
| Licence No | 1067259 |
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Definition: An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1801005020 | VT | -- | |
| P01824543 | IN | RR MEDICARE | |
| 201067330 | IN | -- |
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