NPI | 1346771920 |
---|---|
Former Name | BEN ELI ROSENSTEIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 64313) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 73208-20) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-24 |
Last Update Date | 2021-08-09 |