NPI | 1235372434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX Q5328) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME119039) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-04-17 |
Last Update Date | 2022-03-03 |