NPI | 1417404211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.077670) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL B34272494028) |
Enumeration Date | 2016-09-08 |
Last Update Date | 2021-10-14 |