| NPI | 1124768429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036180654) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125079442) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2026-08-04 |