NPI | 1760918635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036157875) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.071788) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-02-22 |