| NPI | 1851826861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.157994) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME162300) |
| 207L00000X Anesthesiology (Licence: IL 125071645) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036.157994) | |
| 207R00000X Internal Medicine (Licence: PA MT212853) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-10-17 |