| NPI | 1710484555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036179202) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2026-06-19 |