| NPI | 1093341240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI MD-22347) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD-22347) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2025-03-06 |