| NPI | 1235471251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036138850) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.062880) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2022-11-14 |