NPI | 1962928754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2022015241) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.150146) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-14 |
Last Update Date | 2022-06-24 |