NPI | 1205720026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 125.085514) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 125.085514) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-07-23 |