NPI | 1053817825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OK 45380) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2025-06-13 |