NPI | 1245758028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA 184650) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA 184650) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-31 |
Last Update Date | 2024-04-28 |