| NPI | 1083971048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY TP531) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01077903A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR 390200000) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2018-10-01 |