| NPI | 1902464548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A185830) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 1902464548) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA HS000147L) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-06-28 |