NPI | 1255774246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301119143) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-09 |
Last Update Date | 2021-07-19 |