NPI | 1396369047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.077812) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077812) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-05-28 |
Last Update Date | 2022-05-22 |