NPI | 1124605043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A200696) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036166618) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-26 |
Last Update Date | 2025-07-31 |