| NPI | 1558983981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT232516) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125077161) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-08-27 |