| NPI | 1972035020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301509243) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.155932) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036.155932) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.155932) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-04-28 |