| NPI | 1235793266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA12598500) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: PA MT218569) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2025-06-16 |