| NPI | 1013536101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207YX0901X Otolaryngology Otology & Neurotology (Licence: IN 01096320A) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-07-30 |