| NPI | 1043712359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.153431) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01092986A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2025-06-03 |