NPI | 1932630829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-153024) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS17518) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2023-09-08 |