NPI | 1275157513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.084591) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95155716) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2024-09-02 |