| NPI | 1073902664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 85673) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036148690) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2023-09-06 |