| NPI | 1952566267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101280683) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-056513) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-01-11 |