Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 268114 | NY |
NPI | 1053695775 |
---|---|
Provider Name | Dr. Gagangeet S Sandhu |
First Address | New York, NY 10029-6504 |
Second Address | New York, NY 10025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2011 |
Last Update Date | 19/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00268114 | (05) | NY |