NPI | 1174267728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.082410) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.082410) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-20 |
Last Update Date | 2024-06-12 |