NPI | 1265926349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036159885) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276430) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2024-07-29 |